I understand your frustration in wondering why there are so few brachytherapy patients here! I chose Proton Radiation Therapy and am in a minority here. This forum, as you have seen, is composed mainly of members who have chosen surgery. Nevertheless, I came here more to help others than to seek help. If you have read my thread entitled "Proton Radiation Therapy--My Journey With Prostate Cancer", I indicate why I opted for Proton Therapy and rejected all other treatments, including brachytherapy.
I think the key with brachytherapy is to find the best surgeon to perform the seed implants. As with all of the treatments for PCa, finding an expert doctor is often key in giving you a greater chance of achieving success after treatment (but obviously there is never a guarantee success no matter how expert the doctor is). If you want to go to a website where you can read of the stories of men who have elected the various forms of treatment for PCa, I suggest that you go to www.yana.com (you are not alone) and you should find some postings by men who have had brachytherapy (principally implant of seeds). I don't think that HDR (temporary implant of seeds) is that popular today and many medical centers who do the seed implant may not offer the HDR.
I have read that many men have had successful seed implants with minimal side effects. On the other hand, I have heard that some men experience some unpleasant urinary side effects (very slow urination and sometimes inability to urinate which requires a catheter for some period of time or other medical intervention). Some of the other negatives were well covered by "Dutch" in his posting above.
I think the key is for you to do as much research as possible about
the potential side effects of this treatment, the percentage of men who experience them and to talk with other men who have had seed implants. This forum will be of limited help to you in doing so, at least at this time. If you do go forward with the seed implants, I hope that you will become an active member and enlighten others about
this therapy. I have tried to so the same about
Proton Therapy. If you have not seriously explored and considered Proton Therapy for your treatment, you should do so. The key is selecting the treatment that you feel is best for you!
Best of luck to you!
68, Biopsy 9/27/06, Stage T1c, PSA 7.1, Gleason 6 [less than 5% in two areas], Gleason 7 (3+4) [less than 20% in third area], negative DRE, bone scan and MRI. Starting proton radiation therapy 2/22/07. Treatments completed 4/18/07.
Post Edited (pcdave) : 5/10/2007 5:57:21 PM (GMT-6)